Vice President, Payer Partnerships

UpsideHom, Inc.•Fort Lauderdale, FL

21h•$175,000 - $200,000•Remote

About The Position

Upside is hiring a Vice President, Payer Partnerships to lead growth across Medicaid MCOs and emerging Medicare Advantage opportunities. This is a senior sales leadership role focused on building and closing large-scale partnerships with health plans that are looking for solutions around housing stability, SDOH, value-based care, member outcomes, and total cost of care. This role reports to the EVP of Sales and GTM and will own a high-priority payer segment, including flagship account strategy, executive relationships, RFPs, pipeline development, pricing strategy, and contract execution. You’ll work closely with Marketing, BDR, Finance, Product, Clinical, and Client Success to move complex payer opportunities from first conversation through implementation handoff.

Requirements

10–15+ years of payer sales, healthcare enterprise sales, business development, or payer partnerships experience
7+ years of experience selling to or partnering with Medicaid MCOs, Medicare Advantage plans, health plans, or government payer organizations
Proven track record personally closing large-scale payer contracts and managing high-value revenue targets
Experience owning a full sales cycle independently, from account mapping and prospecting through negotiation, contracting, and close
Deep understanding of Medicaid managed care, Medicare Advantage, payer priorities, government-funded healthcare programs, and health plan buying cycles
Experience navigating complex RFPs, procurement processes, legal review, compliance review, executive approvals, and multi-stakeholder decision-making
Strong understanding of SDOH, housing stability, value-based care, population health, quality improvement, member engagement, and total cost of care
Experience selling or positioning solutions related to housing, care management, care coordination, behavioral health, social care, complex populations, or adjacent healthcare services
Ability to engage credibly with C-suite and senior payer stakeholders, including clinical, finance, operations, quality, strategy, and population health leaders
Familiarity with PMPM, shared savings, value-based, performance-based, or other payer contracting models
Experience partnering with Product and Finance to shape pricing, deal structure, reporting expectations, and payer-specific contract terms
Strong written and verbal communication skills, including executive presentations, proposals, RFP responses, and internal deal strategy materials
Strong pipeline management and forecasting discipline, especially in long-cycle enterprise sales environments
Ability to travel as needed for payer meetings, conferences, state meetings, and market development

Nice To Haves

Existing relationships with Medicaid MCOs, Medicare Advantage plans, state health agencies, managed care associations, or payer executives preferred
Experience with ACAP, MHPA, state Medicaid agencies, or managed care industry groups is a plus
Bachelor’s degree preferred; MBA, MPH, MHA, or related advanced degree is a plus

Responsibilities

Own and execute the sales strategy for Medicaid MCOs and emerging Medicare Advantage opportunities
Build and manage a qualified pipeline of high-value payer opportunities, with accountability for revenue targets
Lead flagship health plan opportunities from account mapping and outreach through proposal, negotiation, contracting, and close
Identify and convert high-priority payer opportunities across Medicaid managed care, Medicare Advantage, and adjacent government-funded healthcare programs
Build relationships with senior payer leaders across population health, clinical, quality, operations, finance, strategy, and executive leadership
Serve as a credible face of Upside in senior conversations with health plan executives, state stakeholders, industry groups, and market partners
Lead the strategy and execution of major payer RFP responses, ensuring Upside’s clinical, operational, and financial value proposition is clearly positioned
Tailor Upside’s housing stability and SDOH value proposition to each payer’s priorities, including quality, cost of care, member engagement, compliance, and outcomes
Partner with Finance and Product to structure pricing and deal models, including PMPM, shared savings, performance-based, or other payer-aligned arrangements
Work with Product and Clinical teams to ensure payer feedback, compliance needs, reporting requirements, and market expectations are reflected in future roadmap discussions
Provide competitive intelligence and market feedback to strengthen Upside’s positioning in housing, SDOH, value-based care, and payer partnerships
Build and maintain relationships with state health agencies, managed care associations, payer forums, and industry groups
Maintain strong CRM discipline, including pipeline updates, forecasting, next steps, deal risks, and executive-level reporting
Coordinate cross-functionally to ensure proposals include the latest outcomes data, ROI story, operational model, and implementation assumptions
Partner with Client Success and Implementation to ensure closed partnerships are handed off clearly and commercial commitments are operationalized well
Support broader GTM strategy, market expansion, and team growth as Upside scales its payer partnerships function